Commercial Insurance Quotes

Employment Practices Liability Insurance (EPLI)

Employment Practices Liability Insurance otherwise known
as EPLI is insurance that helps protect you against claims
from your employees that result from the general conduct
of your business. Common examples of employee related claims
include claims relating to:

Discrimination

Wrongful Discharge

Sexual Harassment

Hostile Working Environment

Wrongful Termination

Lack of Advancement

Employment Practices Liability (EPLI) Quote Request

Please take a moment to fill out the form below and one of our local insurance agents will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.

* Required fields.

General
Information

Your Full Name: *

Your Company:

Address:

City:

State:

Zip:

Business Phone: *

Fax:

E-mail Address: *

Employee
Information

No. of F-T
Employees:

No. of P-T
Employees:

No.
of Employees
within Salary Range:

$1-30,000

$30,001-50,000

$50,001-100,000

> $100,000

Prior/Pending
Claims

Within the past 5 years, has
any administrative hearing / claim been made
or is now pending against the organization?

Yes
No

Is any person aware of any fact
or circumstance that may give rise to a claim
under this policy?

Yes
No

Operations/Procedures

Nature of Operations:

Does the insured have written
policies/procedures on?

Hiring/Firing:

Yes
No

Sexual Harassment:

Yes
No

Discrimination:

Yes
No

Is there a Human
Resource Department?

Yes
No

Miscellaneous
Information

Has there been, or is there anticipated
to be any reduction in staff in the past /
future 12 months? If YES, explain:

Does the Insured have an "Employment
At Will" statement?

Yes
No

Does the handbook
state that it is "not a contract"?

Yes
No

Is EPL coverage in place currently?If YES:

a) Inception date of first policy:
b) Current Carrier:

Describe
Any Claims You've Had in the Past 3 Years

Additional
Comments or Questions

Enter Security Code:

Please click the "Submit Quote Request" button
to send your quote request. No coverage is in effect
until bound by an insurance carrier. This is a request
for quotation only.